Upfront stem cell transplantation for newly diagnosed multiple myeloma with del(17p) and t(4;14): a study from the CMWP-EBMT
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Upfront stem cell transplantation for newly diagnosed multiple myeloma with del(17p) and t(4;14): a study from the CMWP-EBMT. / Gagelmann, Nico; Eikema, Diderik-Jan; de Wreede, Liesbeth C; Rambaldi, Alessandro; Iacobelli, Simona; Koster, Linda; Caillot, Denis; Blaise, Didier; Remémyi, Péter; Bulabois, Claude-Eric; Passweg, Jakob; Leleu, Xavier; Zver, Samo; Kobbe, Guido; Ljungman, Per; Chevallier, Patrice; Ringhoffer, Mark; Martin, Murray; Salmenniemi, Urpu; Poiré, Xavier; Lenhoff, Stig; Pioltelli, Pietro; Mordini, Nicola; Delforge, Michel; Garderet, Laurent; Schönland, Stefan; Yakoub-Agha, Ibrahim; Kröger, Nicolaus.
in: BONE MARROW TRANSPL, Jahrgang 56, Nr. 1, 01.2021, S. 210-217.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Upfront stem cell transplantation for newly diagnosed multiple myeloma with del(17p) and t(4;14): a study from the CMWP-EBMT
AU - Gagelmann, Nico
AU - Eikema, Diderik-Jan
AU - de Wreede, Liesbeth C
AU - Rambaldi, Alessandro
AU - Iacobelli, Simona
AU - Koster, Linda
AU - Caillot, Denis
AU - Blaise, Didier
AU - Remémyi, Péter
AU - Bulabois, Claude-Eric
AU - Passweg, Jakob
AU - Leleu, Xavier
AU - Zver, Samo
AU - Kobbe, Guido
AU - Ljungman, Per
AU - Chevallier, Patrice
AU - Ringhoffer, Mark
AU - Martin, Murray
AU - Salmenniemi, Urpu
AU - Poiré, Xavier
AU - Lenhoff, Stig
AU - Pioltelli, Pietro
AU - Mordini, Nicola
AU - Delforge, Michel
AU - Garderet, Laurent
AU - Schönland, Stefan
AU - Yakoub-Agha, Ibrahim
AU - Kröger, Nicolaus
PY - 2021/1
Y1 - 2021/1
N2 - We analyzed newly diagnosed multiple myeloma patients with del(17p) and/or t(4;14) undergoing either upfront single autologous (auto), tandem autologous (auto-auto) or tandem autologous/reduced-intensity allogeneic (auto-allo) stem cell transplantation. 623 patients underwent either auto (n = 446), auto-auto (n = 105), or auto-allo (n = 72) between 2000 and 2015. 46% of patients had t(4;14), 45% had del(17p) while 9% were reported having both abnormalities. Five-year overall survival (OS) was 51% (95% confidence interval [CI], 45-58%) for single auto, 60% (95% CI, 49-72%) for auto-auto, and 67% (95% CI, 53-80%) for auto-allo (p = 0.187). Five-year progression-free survival (PFS) was 17% (95% CI, 12-22%), 33% (95% CI, 22-43%), and 34% (95% CI, 21-38%; p = 0.048). Five-year relapse rate was 82, 63, and 56%, while non-relapse mortality was 1, 4, and 10%. In multivariable analysis, in t(4;14) with single auto as reference, auto-auto (hazard ratio [HR], 0.44; p = 0.007) and auto-allo (HR, 0.45; p = 0.018) were associated with better PFS. In terms of t(4;14) and OS, auto-auto appeared to improve outcome compared with single auto (HR, 0.49; p = 0.096). In del(17p), outcome in PFS was similar between single auto and auto-auto, while auto-allo appeared to improve PFS (HR, 0.65; p = 0.097). No significant difference in OS was identified between the groups in patients with del(17p).
AB - We analyzed newly diagnosed multiple myeloma patients with del(17p) and/or t(4;14) undergoing either upfront single autologous (auto), tandem autologous (auto-auto) or tandem autologous/reduced-intensity allogeneic (auto-allo) stem cell transplantation. 623 patients underwent either auto (n = 446), auto-auto (n = 105), or auto-allo (n = 72) between 2000 and 2015. 46% of patients had t(4;14), 45% had del(17p) while 9% were reported having both abnormalities. Five-year overall survival (OS) was 51% (95% confidence interval [CI], 45-58%) for single auto, 60% (95% CI, 49-72%) for auto-auto, and 67% (95% CI, 53-80%) for auto-allo (p = 0.187). Five-year progression-free survival (PFS) was 17% (95% CI, 12-22%), 33% (95% CI, 22-43%), and 34% (95% CI, 21-38%; p = 0.048). Five-year relapse rate was 82, 63, and 56%, while non-relapse mortality was 1, 4, and 10%. In multivariable analysis, in t(4;14) with single auto as reference, auto-auto (hazard ratio [HR], 0.44; p = 0.007) and auto-allo (HR, 0.45; p = 0.018) were associated with better PFS. In terms of t(4;14) and OS, auto-auto appeared to improve outcome compared with single auto (HR, 0.49; p = 0.096). In del(17p), outcome in PFS was similar between single auto and auto-auto, while auto-allo appeared to improve PFS (HR, 0.65; p = 0.097). No significant difference in OS was identified between the groups in patients with del(17p).
U2 - 10.1038/s41409-020-01007-w
DO - 10.1038/s41409-020-01007-w
M3 - SCORING: Journal article
C2 - 32710010
VL - 56
SP - 210
EP - 217
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 1
ER -